Indian Journal of Anaesthesia (IJA)
WEEKLY QUIZ #22
IJA Quiz Masters -
Dr. Muralidhar Thondebhavi S, Dr. Manshad Showkath, Dr. Shilpa GK Bhat, Dr. Bhavna Gupta, Dr. Tushar Chokshi
Dr. Rakesh Garg
Editor-in-Chief
Indian Journal of Anaesthesia
Dr. Rakesh Garg
Editor-in-Chief
Indian Journal of Anaesthesia
Q1 Which of the following induction agents is reported to
be the only independent risk factor for haemodynamic collapse during tracheal
intubation in critically ill patients, according to a secondary analysis of the
INTUBE findings?
A. Ketamine
B. Etomidate
C. Propofol
D. Benzodiazepines
Correct Answer: C. Propofol
Khawaja, Asad1; Karamchandani, Kunal2. Induction agents for
emergency airway management in critically ill patients. Indian Journal of
Anaesthesia 68(6):p 514-516, June 2024. | DOI: 10.4103/ija.ija_380_24
Q2. Which of the following statements is true regarding
the prophylactic use of corticosteroids for preventing postoperative
neurocognitive dysfunction (PNCD) based on the findings from a systematic
review and meta-analysis?
A. Corticosteroids significantly reduce the incidence of
delayed neurocognitive recovery (dNCR) after surgery.
B. The use of corticosteroids is associated with a
significant increase in postoperative infections.
C. Corticosteroids have been shown to significantly lower
the incidence of postoperative delirium (POD).
D. The analysis found no significant benefit of
corticosteroids on postoperative neurocognitive dysfunction (PNCD) incidence.
Correct Answer: C. Corticosteroids have been shown to
significantly lower the incidence of postoperative delirium (POD).
https://journals.lww.com/ijaweb/fulltext/2024/06000/effect_of_prophylactic_corticosteroids_on.3.aspx
Singh, Narinder P.; Makkar, Jeetinder K.1; Goel, Nitika1;
Karamchandani, Kunal2; Singh, Mandeep3; Singh, Preet M.4. Effect of
prophylactic corticosteroids on postoperative neurocognitive dysfunction in the
adult population: An updated systematic review, meta-analysis, and trial
sequential analysis of randomised controlled trials. Indian Journal of
Anaesthesia 68(6):p 517-526, June 2024. | DOI: 10.4103/ija.ija_149_24
Q3. What is the primary aim of the study involving
dexmedetomidine and succinylcholine in patients undergoing ECT in the latest
issues of IJA?
A. To evaluate the hemodynamic changes in patients receiving
dexmedetomidine
B. To determine the efficacy of a low dose of
dexmedetomidine in reducing succinylcholine-induced myalgia
C. To compare the anesthesia recovery times in patients
receiving dexmedetomidine
D. To assess the safety profile of high-dose dexmedetomidine
in ECT patients
Answer: B
https://journals.lww.com/ijaweb/fulltext/2024/06000/dexmedetomidine_for_reducing.9.aspx
Sriramka, Bhavna; Panigrahy, Sasmita; Ramasubbu, Mathan
Kumar1; Mishra, Suvendu N.2. Dexmedetomidine for reducing
succinylcholine-induced myalgia in patients undergoing electroconvulsive
therapy: A randomised controlled trial. Indian Journal of Anaesthesia 68(6):p
560-565, June 2024. | DOI: 10.4103/ija.ija_1159_23
Q4. Which of the following perioperative factors were
identified as independent predictors of acute kidney injury (AKI) following
oesophagectomy in a recent prospective observational study published in IJA?
A. Preoperative chemotherapy, intraoperative hypotension,
and use of nephrotoxic antibiotics
B. Age, anastomotic leak, and use of vasopressors in the
postoperative period
C. Duration of surgery, intraoperative blood loss, and use
of contrast-enhanced imaging
D. Preoperative nutritional status, presence of
comorbidities, and postoperative pain management
Answer: B
Sakkanan, Naveen Vivek1; Swaminathan, Srinivasan1; Bidkar,
Prasanna Udupi1; Vairappan, Balasubramaniyan2; Sathiaprabhu, A3; Dey, Ankita4.
Comparison of the efficacy of 0.9% normal saline with balanced crystalloid
(Plasmalyte) in maintaining the metabolic profile in head injury patients
undergoing evacuation of acute subdural haematoma – A randomised controlled
trial. Indian Journal of Anaesthesia 68(6):p 553-559, June 2024. | DOI:
10.4103/ija.ija_1160_23
Question
5: Which of the following statements best describes optic nerve
sheath diameter (ONSD) monitoring in neurological outcome prognostication?
A) ONSD
monitoring is primarily used for assessing cognitive function.
B) ONSD
monitoring is a technique used to measure intracranial pressure indirectly.
C) ONSD
monitoring is exclusively employed for diagnosing optic nerve disorders
D) ONSD
monitoring is not effective in predicting neurological outcomes
Answer : B
Q 6. Which of the following aspects is NOT a recommended approach for
anaesthetic management in patients with Hajdu Cheney syndrome?
A) Using video laryngoscope or fibreoptic scope for tracheal
intubation.
B) Assessing coagulation profiles preoperatively.
C) Utilizing larger-size endotracheal tubes to ensure sufficient
airflow.
D) Ensuring adequate blood product availability
Answer C
Magoon, Rohan; Jose, Jes1; Suresh, Varun2. Research trends in
optic nerve sheath diameter monitoring – A bibliometric study. Indian Journal
of Anaesthesia 68(6):p 579-582, June 2024. | DOI: 10.4103/ija.ija_205_24
Q.7 which of
the following is NOT an independent predictor of AKI (Acute Kidney Injury)in
patients undergoing elective oesophagectomy?
A) Higher age
B) Anastomotic leak
C) Use of vasopressors in
the postoperative period
D) Preoperative fluid intake
Answer : D
https://journals.lww.com/ijaweb/fulltext/2024/06000/incidence_of_acute_kidney_injury_and_its.11.aspx
Parab, Swapnil Y.; Majety, Sarat Chandra; Ranganathan,
Priya; Jiwnani, Sabita1; Pramesh, CS1; Shetmahajan, Madhavi. Incidence of acute
kidney injury and its associated risk factors in patients undergoing elective
oesophagectomy surgeries at a tertiary care cancer institute – A pilot
prospective observational study. Indian Journal of Anaesthesia 68(6):p 572-578,
June 2024. | DOI: 10.4103/ija.ija_98_24
Q. 8 Which among these is a novel biomarker used
for early prediction of Acute Kidney Injury
A) neutrophil gelatinase-associated lipocalin
B) kidney injury molecule-2
C) kidney injury molecule-3
D) creatine kinase
Answer : A)
https://journals.lww.com/ijaweb/fulltext/2024/06000/incidence_of_acute_kidney_injury_and_its.11.aspx
Parab, Swapnil Y.; Majety, Sarat Chandra; Ranganathan,
Priya; Jiwnani, Sabita1; Pramesh, CS1; Shetmahajan, Madhavi. Incidence of acute
kidney injury and its associated risk factors in patients undergoing elective
oesophagectomy surgeries at a tertiary care cancer institute – A pilot
prospective observational study. Indian Journal of Anaesthesia 68(6):p 572-578,
June 2024. | DOI: 10.4103/ija.ija_98_24
Q.9 What adverse effect is associated with the infusion of large
volumes of 0.9% normal saline?
A) Hyponatremia
B) Hyperchloremic metabolic acidosis
C) Hypochloremic alkalosis
D) Hyperkalemia
Answer : B
Sakkanan, Naveen Vivek1; Swaminathan, Srinivasan1;
Bidkar, Prasanna Udupi1; Vairappan, Balasubramaniyan2; Sathiaprabhu, A3; Dey,
Ankita4. Comparison of the efficacy of 0.9% normal saline with balanced
crystalloid (Plasmalyte) in maintaining the metabolic profile in head injury
patients undergoing evacuation of acute subdural haematoma – A randomised
controlled trial. Indian Journal of Anaesthesia 68(6):p 553-559, June 2024. |
DOI: 10.4103/ija.ija_1160_23
Q.10 What is the half life of Ondansentron
A)
1 Hour
B)
2 Hour
C)
3 Hour
D)
4 Hour
Answer : C)
Deb, Binayak; Saini, Kulbhushan; Arora, Suman; Kumar, Sanjay;
Soni, Shiv L.; Saini, Manu1. Olanzapine versus standard antiemetic prophylaxis
for the prevention of post-discharge nausea and vomiting after propofol-based
general anaesthesia: A randomised controlled trial. Indian Journal of
Anaesthesia 68(6):p 566-571, June 2024. | DOI: 10.4103/ija.ija_1162_23
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